Liabilities / Assets
74th percentile
Higher debt load relative to assets than 74% of similar nonprofits.
990 • Fiscal year 2017 • EIN 45-0231183
Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.
Liabilities / Assets
74th percentile
Higher debt load relative to assets than 74% of similar nonprofits.
Liabilities / Revenue
57th percentile
Higher debt load relative to revenue than 57% of similar nonprofits.
Net Margin
52nd percentile
Higher net margin than 52% of similar nonprofits.
Top Officer Pay
92nd percentile
Higher top officer pay than 92% of similar nonprofits.
Top officer pay equals 1.3% of source-year revenue.
Asset Growth
84th percentile
Faster asset growth than 84% of similar nonprofits.
Revenue Growth
62nd percentile
Faster revenue growth than 62% of similar nonprofits.
Assets
Up$92,100,458
Up $14,471,953 (+19%) from 2016
Net Assets
Up$38,696,454
Up $3,487,724 (+9.9%) from 2016
Liabilities
Up$53,404,004
Up $10,984,229 (+26%) from 2016
Revenue
Up$99,759,611
Up $8,202,057 (+9.0%) from 2016
Expenses
Up$95,978,529
Up $4,158,119 (+4.5%) from 2016
Net Income
Up$3,781,082
Up $4,043,938 (+1538%) from 2016
Mercy medical center is a critical access hospital serving a large geographical area. Community benefits include: uncompensated care, medical education and awareness, support services, and community outreach.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $49,821,301 | $44,697,183 | ▼ $5,124,118 |
| Accounts Receivable | $14,226,307 | $14,335,774 | ▲ $109,467 |
| Inventories for Sale or Use | $1,777,966 | $2,026,657 | ▲ $248,691 |
| Prepaid Expenses and Deferred Charges | $86,074 | $406,554 | ▲ $320,480 |
| Cash and Non-Interest-Bearing Accounts | $3,330 | $0 | ▼ $3,330 |
| Savings and Temporary Cash Investments | $0 | - | - |
| Other Notes and Loans Receivable, Net | $0 | - | - |
| Pledges and Grants Receivable | $0 | - | - |
| Receivable From Disqualified Prsn | - | $0 | - |
| Receivables From Officers Etc | $0 | $0 | → $0 |
| Investments Other Securities | $0 | - | - |
| Investments Program Related | $0 | - | - |
| Investments in Publicly Traded Securities | $0 | - | - |
| Intangible Assets | $0 | - | - |
| Total Assets | $77,628,505 | $92,100,458 | ▲ $14,471,953 |
| Other Assets Total | $11,713,527 | $30,634,290 | ▲ $18,920,763 |
| Liabilities | |||
| Other Liabilities | $34,506,120 | $44,084,341 | ▲ $9,578,221 |
| Accounts Payable and Accrued Expenses | $6,643,071 | $6,631,633 | ▼ $11,438 |
| Mortgage Notes Payable Secured by Investment Property | $943,978 | $1,727,080 | ▲ $783,102 |
| Deferred Revenue | $326,606 | $960,950 | ▲ $634,344 |
| Grants Payable | $0 | - | - |
| Unsecured Notes Loans Payable | $0 | - | - |
| Escrow Account Liability | $0 | - | - |
| Tax Exempt Bond Liabilities | $0 | - | - |
| Total Liabilities | $42,419,775 | $53,404,004 | ▲ $10,984,229 |
| Net Assets / Fund Balance | |||
| Unrestricted Net Assets | $35,208,730 | $38,696,454 | ▲ $3,487,724 |
| Permanently Rstr Net Assets | $0 | $0 | → $0 |
| Temporarily Rstr Net Assets | $0 | $0 | → $0 |
| Total Net Assets Fund Balance | $35,208,730 | $38,696,454 | ▲ $3,487,724 |
| Total Liabilities and Net Assets / Fund Balance | $77,628,505 | $92,100,458 | ▲ $14,471,953 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $22,683,938 | $20,933,162 | $43,617,100 |
| Equipment | $18,939,400 | $19,302,373 | $38,241,773 |
| Other Land Buildings | $1,951,937 | $648,094 | $2,600,031 |
| Leasehold Improvements | $793,880 | $288,683 | $1,082,563 |
| Land | $328,028 | - | $328,028 |
| Other Assets Org | $4,149 | - | - |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| - | Radiologist | FT | $759,595 | $54,554 | $814,149 |
| - | Physician | FT | $640,634 | $101,820 | $742,454 |
| - | Ob/gyn-surgeon | FT | $493,742 | $135,721 | $629,463 |
| - | Plastic- Reconstruction Surgeon | FT | $500,722 | $95,935 | $596,657 |
| - | ER Physician | FT | $416,026 | $82,334 | $498,360 |
| - | VP Patient Care Services | FT | $128,423 | $27,881 | $156,304 |
| Name | Title |
|---|---|
| - | Chair |
| - | Ex-officio/PRESIDENT & CEO (Partial Year) |
| - | President / Market CEO |
| - | Vice Chair |
| - | Board Member |
| - | Director/CHI SVP DIVISION OFFICER |
| - | CFO/VP of Finance |
| - | Physician, Former HCE |
| - | Secretary / Treasurer |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Interstaff INC | Staffing Services | 10503 Timberwood Cir 1116, Suite 400, Louisville, KY 40223 | $1,889,307 |
| AMN Healthcare | Staffing Services | 12400 High Bluff Drive, San Diego, CA 92130 | $1,617,029 |
| National Medical Resources INC | Staffing Services | 2792 E Broadway Ave, Bismarck, ND 58501 | $1,542,422 |
| Owens & Minor | Services & Solutions | 9120 Lockwood Boulevard, Mechanicsville, VA 23116 | $1,134,674 |
| Shearwater Health INC | Staffing Services | 20 Burton Hills Blvd, Nashville, TN 37215 | $843,357 |
| Line Item | Amount |
|---|---|
| Other Expenses | $59,029,681 |
| Salaries, Compensation, and Employee Benefits | $35,068,614 |
| Grants and Similar Amounts Paid | $1,880,234 |
| Total Fundraising Expense | $510,940 |
| Professional Fundraising Fees | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $27,423,072 | $1,168,375 | $293,738 | $28,885,185 |
| Fees for Services Other | $17,669,862 | $1,963,318 | $0 | $19,633,180 |
| Information Technology | - | $8,443,490 | - | $8,443,490 |
| Depreciation Depletion | $4,579,914 | $93,468 | - | $4,673,382 |
| Other Employee Benefits | $2,517,254 | $106,232 | $26,587 | $2,650,073 |
| Grants to Domestic Individuals | $1,823,733 | - | - | $1,823,733 |
| Occupancy | $1,439,650 | $359,912 | - | $1,799,562 |
| Payroll Taxes | $1,702,595 | $71,688 | $17,922 | $1,792,205 |
| Office Expenses | $1,504,536 | $47,017 | $15,672 | $1,567,225 |
| Pension Plan Contributions | $1,157,596 | $49,429 | $12,440 | $1,219,465 |
| Payments to Affiliates | - | $1,170,360 | - | $1,170,360 |
| Interest | $783,354 | - | - | $783,354 |
| Insurance | $186,699 | $480,083 | - | $666,782 |
| Other Expenses | $615,989 | - | - | $615,989 |
| All Other Expenses | $398,037 | $181,094 | $0 | $579,131 |
| Current Officers, Directors, Trustees, and Key Employees | $514,665 | $7,021 | - | $521,686 |
| Travel | $271,937 | $30,555 | $3,055 | $305,547 |
| Advertising | - | $115,718 | $141,434 | $257,152 |
| Fees for Services Legal | - | $172,154 | - | $172,154 |
| Grants to Domestic Orgs | $56,501 | - | - | $56,501 |
| Conferences and Meetings | $6,233 | $2,841 | $92 | $9,166 |
| Fees for Services Lobbying | - | $6,042 | - | $6,042 |
| Total Functional Expenses | $80,998,792 | $14,468,797 | $510,940 | $95,978,529 |
| Recipient | Location | Category | Purpose | Amount |
|---|---|---|---|---|
| Mercy Medical Foundation | Williston, ND | 501(c)(3) | Program Support | $48,294 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Line Item | Beginning | End | Change |
|---|---|---|---|
| Receivables from Disqualified Persons | - | $0 | - |
| Receivables from Officers, Directors, Trustees, and Key Employees | $0 | $0 | → $0 |
| Liability | Amount |
|---|---|
| Intercompany Payables | $19,670,970 |
| Chi Debt | $9,323,857 |
| Other Liabilities | $8,925,114 |
| Deferred Gain on Sale/Leasback-LT | $6,164,400 |
“The organization's top management official's compensation is paid by Catholic Health Initiatives (CHI), a related organization. CHI has a defined compensation philosophy. Both the executive and non-executive compensation structures and ranges are reviewed annually in comparison to market data. CHI uses The Korn Ferry Hay Group as the independent third party to assess executive compensation programs and to ensure the reasonableness of actual salaries and total compensation packages. Compensation of the senior most executives is reviewed annually. The Korn Ferry Hay Group reviews both cash and total compensation for overall reasonableness, for adherence to CHI's compensation philosophy, and for comparability to the not-for-profit healthcare market. This independent review is delivered by Korn Ferry Hay Group to the HR committee of the CHI Board of Stewardship Trustees annually at their September meeting and minutes are shared with the full board at the December meeting. The last review was September 11, 2017. In addition, Korn Ferry Hay Group completed a comprehensive review of all positions at the level of vice president and above in the fall of 2014 to determine and validate appropriate compensation levels. These levels have been reviewed annually since and revised based on market data, where applicable.”
“The document retention and destruction policy is more of an operational policy. These types of policies usually do not go to the board of directors. This has not been adopted by the board of directors.”
“The Board Chair or designee shall make such further investigation of any conflict of interest disclosures as he or she may deem appropriate. If the conflict involves the Board Chair, the Vice Chair will assume the Chair's role outlined in the COI Policy. Based on review and evaluation of the relevant facts and circumstances, the Board Chair will make an initial determination as to whether a conflict of interest exists and whether, pursuant to the COI Policy, review and approval or other action by the Board is required. A written record of the Board Chair's determination, including relevant facts and circumstances, will be made. The Board Chair shall then make an appropriate report to the Executive Committee of the Board concerning such review, evaluation and determination. If a difference of opinion exists between the Board Chair and another Trustee as to whether the facts and circumstances of a given situation constitute a conflict of interest or whether Board review and approval or other action is required within the COI Policy, the matter shall be submitted to the Board's Executive Committee, which shall make a final determination as to the matter presented. Such determination, including relevant facts and circumstances, will be reflected in the Executive Committee minutes and will be reported to the Board. The Board shall carefully scrutinize and must in good faith approve or disapprove any transaction in which CHI or a CHI Entity is a party and in which the Trustee or Corporate Officer either: * Has a material financial interest; or * Is a Trustee or Corporate Officer of the other party (other than a CHI-affiliated organization). The Board must approve the transaction by a majority of the Trustees on the Board, without counting the vote of any individual who has an interest in the transaction. In reviewing such transactions between CHI or CHI Entities and vendors or other contractors who are, or are affiliated with, Trustees or Corporate Officers, the Board shall act no more or less favorably than it would in reviewing transactions with unrelated third parties. The transaction will not be approved unless the Board determines that the transaction is fair to CHI or the CHI Entity. The Board shall carefully review and scrutinize any non-transactional conflict of interest (e.g., disclosure of nonpublic information, competition with CHI or a CHI Entity, failure to disclose a corporate opportunity, excessive gifts or entertainment, etc.). By a majority vote of the disinterested Trustees, the Board shall take whatever action is deemed appropriate with respect to the Trustee or Corporate Officer under the circumstances, including possible disciplinary or corrective action, in order to best protect the interests of CHI or the CHI Entity. The Board should consult with the General Counsel of CHI or his or her designee when considering disciplinary or corrective action. When any conflict of interest is considered by the Board, the Trustee or Corporate Officer, as appropriate, must disclose all of the material facts to the Board. The Trustee shall not vote and the Trustee or Corporate Officer shall not use his or her personal influence on the matter. However, if requested, such Trustee or Corporate Officer is not prevented from briefly stating his or her position in the matter, nor from answering pertinent questions from Trustees, as his or her knowledge may be of significant importance. The Trustee or Corporate Officer shall be excused from the meeting during discussion and vote on the conflict of interest. Minutes of the Board shall reflect the following: the individual making the disclosure, the nature of the disclosure, discussion regarding any proposed transaction, the decision made by the Board, and that the interested Trustee or Corporate Officer was excused during the discussion, and that the interested Trustee abstained from voting. If the Board reasonably believes that a Trustee or Corporate Officer has failed to disclose ei”
“Pursuant to Section 8.6 of the Bylaws of Mercy Medical Center, the Executive Committee is composed of the board chair, the board vice chair, the President and CEO, each of whom shall serve as an ex officio voting member of the Executive Committee, and two voting members appointed by the Board of Directors. Each individual appointed to the Executive Committee shall serve for a term of one year or until his or her successor is duly appointed by the Board of Directors. The Executive Committee shall consist of only directors of the Corporation. Pursuant to Section 8.1 of the Corporation's bylaws, committees, such as the executive committee, that are granted the authority to act on behalf of the board of directors may include only directors of the corporation. Further, pursuant to Section 8.6 of the Corporation's bylaws, the executive committee has and may exercise such powers as may be delegated to it by the board of directors. The Executive Committee also possesses the power to transact routine business of the corporation in the interim period between regularly scheduled meetings of the board of directors.”
“According to the bylaws of mercy medical center, the entity's sole member is catholic health initiatives, a colorado nonprofit corporation.”
“Pursuant to Section 6.5 of the organization's bylaws, directors shall be appointed or refused by the corporate member. The corporate member may appoint one or more individuals to the board of directors, and may at any time remove, with or without cause, any member of the board of directors. According to the organization's bylaws, directors of the corporation shall be appointed by the corporate member no later than June 30 of each year. The names and qualifications of each individual accepted by the board of directors shall be submitted to the corporate member, who shall appoint or refuse each nominee in accordance with the corporate member's bylaws and with endorsement of the senior vice president of operations. The corporate member may unilaterally appoint one or more individuals to the board of directors should the board fail to furnish the corporate member with a list of individuals qualified to serve on the board of directors of the corporation. (CHCF Reserved Rights) Except as otherwise provided in the Corporation's Articles of Incorporation or the laws of the State of organization, Catholic Health Care Federation ("CHCF") shall have such rights as are reserved to the Corporate Member, acting in its capacity as the membership body of CHCF, under the Governance Matrix.”
“The organization's corporate member is Catholic Health Initiatives ("CHI"). Pursuant to Section 5.4 of the organization's bylaws, the Corporate Member shall have the specific rights set forth in the governance matrix. Pursuant to the governance matrix the following rights are reserved to the CHI Board directly or through powers delegated to the CHI Chief Executive Officer: * Substantial change in the mission or philosophy of Mercy Medical Center * Amendment of the corporate documents of Mercy Medical Center * Approve members of the Mercy Medical Center board * Removal of a member of the governing body of Mercy Medical Center * Approval of issuance of debt by Mercy Medical Center * Approval of participation of Mercy Medical Center in a joint venture * Approval of formation of a new corporation by Mercy Medical Center * Approval of a merger involving Mercy Medical Center * Approval of the sale of all or substantially all of the assets of Mercy Medical Center * To require the transfer of assets by Mercy Medical Center to CHI to accomplish CHI's goals and objectives, and to satisfy CHI debts. * Adoption of long range and strategic plans for Mercy Medical Center Pursuant to Section 5.5.2 of the organization's bylaws, CHI may, in exercise of its approval powers, grant or withhold approval in whole or in part, or may, in its complete discretion, after consultation with the Board and the President and Chief Executive Officer of the organization, recommend such other or different actions as it deems appropriate. (CHCF Reserved Rights) Except as otherwise provided in the Corporation's Articles of Incorporation or the laws of the State of organization, Catholic Health Care Federation ("CHCF") shall have such rights as are reserved to the Corporate Member, acting in its capacity as the membership body of CHCF, under the Governance Matrix.”
“Once the return is prepared, the return is reviewed by the chief financial officer. An electronic copy of the return is sent to each board member by email for their review. Subsequent to the return being provided to the board, the tax department files the return with the appropriate federal and state agencies, making any non-substantive changes necessary to effect e-filing. Any such changes are not re-submitted to the board.”
“Catholic Health Initiatives ("CHI") has a Conflicts of Interest ("COI") policy (the "Policy") in place to maintain the integrity of all of its activities. The Policy applies to CHI Board of Stewardship Trustees and members of its committees; all CHI Entity board and board committee members; all CHI employees; and all CHI research personnel (both employed and non-employed). Disclosure, review and management of perceived, potential or actual conflicts of interest are accomplished through a defined COI disclosure process. Each Person must promptly and fully disclose to his/her direct manager, supervisor, medical staff office, board or board committee chair any situation or circumstance that may create a conflict of interest. The Person must disclose the actual or potential conflict as soon as she/he becomes aware of it. In any situation where the Person may be in doubt, a full disclosure should be made to permit an impartial and objective determination. In addition to the general ongoing obligation, there are initial disclosure obligations. At the time of initial appointment, a copy of the Policy shall be distributed to the board or committee member along with a conflict of interest disclosure. The board or committee member will complete and submit the disclosure. The completed disclosure shall be maintained in confidence and access shall be limited to persons who have a reasonable need to know the contents. At the time of hiring, a copy of the Policy shall be distributed to all Employees. In addition, a conflict of interest disclosure will be provided. The Employee must complete and submit a conflict of interest disclosure. The completed disclosure shall be maintained in confidence and access shall be limited to persons who have a reasonable need to know the contents. In addition to the general ongoing and initial disclosure obligations, there is an annual disclosure obligation. On an annual basis, the following Persons must complete a new conflict of interest disclosure: * Board and board committee members; * Employees at the level of vice president and above; * Researchers * Supply Chain Employees at the level of vice president and above and those employees involved in contracting regardless of employment level; * Other Employees as deemed applicable by CHI Leadership * Employees at the level of manager and above (through 6/21/17) Disclosures of perceived, potential or actual conflicts involving financial interests are forwarded to the Conflicts of Interest Review Committee ("C-CIRC"), National or Regional Legal Services, National, Entity, or Research Corporate Responsibility Program, or the Executive Committee of the Board or Board Chair, for review depending on the position of the person involved. Among the factors that should be considered in determining whether a conflict exists are the nature and magnitude of the opportunity, transaction or arrangement, the degree to which it is related to CHI's business, whether the Person with the conflict is the ultimate decision-maker or holds significant influence over the ultimate decision-maker (i.e., degree of independence of the decision-making process), the unique nature of the opportunity, transaction or arrangement, the existence of other viable alternatives and the quality of those alternatives, and what is customary and reasonable in the health care or research industry. When a Person has, or is considering initiating, a business interest or relationship outside of CHI but is uncertain whether the interest constitutes a conflict of interest requiring disclosure under this Policy, the Person should consult with local Corporate Responsibility Program (CRP) staff or CHI Legal Services Group (LSG) staff, as appropriate. As appropriate, a COI management plan will be developed. With respect to those audiences for which the C-CIRC has review responsibility, the C-CIRC will facilitate development of any such COI management plan in collaboration with local CRP staff or CHI LSG staff,”
“All executive compensation paid to officers and key employees was set by a compensation committee utilizing an independent consultant and comparability studies to determine compensation. The board of directors oversees the compensation setting process and ensures reasonableness and compliance with the organization's compensation philosophy.”
“The organization's financial statements, conflict of interest policy and governing documents are available to the public upon request. The organization's financial statements are included in Catholic Health Initiatives' consolidated audited financial statements that are available at www.catholichealthinitiatives.org.”
“Miscellaneous Revenue - Total Revenue: 197688, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 197688;”
“The mission of the corporation is to nurture the healing ministry of the church, supported by education and research. Fidelity to the gospel urges the corporation to emphasize human dignity and social justice as it creates healthier communities. The corporation, sponsored by a lay-religious partnership, calls other catholic sponsors and systems to unite to ensure the future of catholic health care. To fulfill this mission, the corporation, as a values-based organization, will assure the integrity of the ministry in both current and developing organizations and activities; research and develop new ministries that integrate health, education, pastoral, and social services; promote leadership development and formation for ministry throughout the entire organization; advocate for systemic changes with specific concern for persons who are poor, alienated, and underserved; and steward resources by general oversight of the entire organization.”
“Other Fees for Services - Total Expense: 19633180, Program Service Expense: 17669862, Management and General Expenses: 1963318, Fundraising Expenses: ;”
“change in value of interest in MMF - 1503; Capital Resource Contribution - -294861;”
“Mercy Medical Center's financial information is included in the consolidated audited financial statements of Catholic Health Initiatives (CHI), a related organization. CHI's FIN 48 (ASC 740) footnote for the year ended June 30, 2017, reads as follows: "CHI is a tax-exempt Colorado corporation and has been granted an exemption from federal income tax under Section 501(c)(3) of the Internal Revenue Code. CHI owns certain taxable subsidiaries and engages in certain activities that are unrelated to its exempt purpose and therefore subject to income tax. Management reviews its tax positions annually and has determined that there are no material uncertain tax positions that require recognition in the accompanying consolidated financial statements."”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
| Path | # | Value |
|---|---|---|
| IRS990/AccountantCompileOrReviewInd | 0 | false |
| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 6643071 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 6631633 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 14226307 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 14335774 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | false |
| IRS990/ActivityOrMissionDesc | 0 | MERCY MEDICAL CENTER IS A CRITICAL ACCESS HOSPITAL SERVING A LARGE GEOGRAPHICAL AREA. COMMUNITY BENEFITS INCLUDE: UNCOMPENSATED CARE, MEDICAL EDUCATION AND AWARENESS, SUPPORT SERVICES, AND COMMUNITY OUTREACH. |
| IRS990/AdvertisingGrp/FundraisingAmt | 0 | 141434 |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 115718 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 257152 |
| IRS990/AllOtherContributionsAmt | 0 | 6618 |
| IRS990/AllOtherExpensesGrp/FundraisingAmt | 0 | 0 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 181094 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 398037 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 579131 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | true |
| IRS990/AuditCommitteeInd | 0 | true |
| IRS990/AuditedFinancialStmtAttInd | 0 | true |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | Joseph Ruark |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 7017747408 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 1301 15th Ave West |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | Williston |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | ND |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 58801 |
| IRS990/BusinessRlnWithFamMemInd | 0 | false |
| IRS990/BusinessRlnWithOfficerEntInd | 0 | false |
| IRS990/BusinessRlnWithOrgMemInd | 0 | false |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 3330 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 0 |
| IRS990/ChangeToOrgDocumentsInd | 0 | false |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 42 |
| IRS990/CollectionsOfArtInd | 0 | false |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 7021 |
| IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt | 0 | 514665 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 521686 |
| IRS990/CompensationFromOtherSrcsInd | 0 | false |
| IRS990/CompensationProcessCEOInd | 0 | false |
| IRS990/CompensationProcessOtherInd | 0 | true |
| IRS990/ConferencesMeetingsGrp/FundraisingAmt | 0 | 92 |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 2841 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 6233 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 9166 |
| IRS990/ConflictOfInterestPolicyInd | 0 | true |
| IRS990/ConservationEasementsInd | 0 | false |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | true |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 1889307 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 1617029 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 1542422 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 1134674 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 843357 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 10503 Timberwood Cir 1116 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | 12400 High Bluff Drive |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | 2792 E Broadway Ave |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | 9120 Lockwood Boulevard |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | 20 Burton Hills Blvd |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine2Txt | 0 | Suite 400 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | Louisville |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | San Diego |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | Bismarck |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | Mechanicsville |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | Nashville |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | KY |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | CA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | ND |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | VA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | TN |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 40223 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 92130 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 58501 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 23116 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 37215 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | INTERSTAFF INC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | AMN Healthcare |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | NATIONAL MEDICAL RESOURCES INC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | OWENS & MINOR |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | SHEARWATER HEALTH INC |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | Staffing Services |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | Staffing Services |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | Staffing Services |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | Services & Solutions |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | Staffing Services |
| IRS990/CreditCounselingInd | 0 | false |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 1623472 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 1880234 |
| IRS990/CYInvestmentIncomeAmt | 0 | 1502630 |
| IRS990/CYOtherExpensesAmt | 0 | 59029681 |
| IRS990/CYOtherRevenueAmt | 0 | 1813760 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 94819749 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 3781082 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 35068614 |
| IRS990/CYTotalExpensesAmt | 0 | 95978529 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 510940 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 99759611 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | true |
| IRS990/DeductibleArtContributionInd | 0 | false |
| IRS990/DeductibleNonCashContriInd | 0 | false |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 326606 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 960950 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | false |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 93468 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 4579914 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 4673382 |
| IRS990/Desc | 0 | SEE SCHEDULE H |
| IRS990/DescribedInSection501c3Ind | 0 | true |
| IRS990/DisregardedEntityInd | 0 | false |
| IRS990/DocumentRetentionPolicyInd | 0 | false |
| IRS990/DoingBusinessAsName/BusinessNameLine1Txt | 0 | CHI St Alexius Health Williston Medical Center |
| IRS990/DonorAdvisedFundInd | 0 | false |
| IRS990/ElectionOfBoardMembersInd | 0 | true |
| IRS990/EmployeeCnt | 0 | 458 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | true |
| IRS990/EngagedInExcessBenefitTransInd | 0 | false |
| IRS990/EscrowAccountLiabilityGrp/BOYAmt | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 80998792 |
| IRS990/FamilyOrBusinessRlnInd | 0 | false |
| IRS990/FederalGrantAuditPerformedInd | 0 | true |
| IRS990/FederalGrantAuditRequiredInd | 0 | true |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 172154 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 172154 |
| IRS990/FeesForServicesLobbyingGrp/ManagementAndGeneralAmt | 0 | 6042 |
| IRS990/FeesForServicesLobbyingGrp/TotalAmt | 0 | 6042 |
| IRS990/FeesForServicesOtherGrp/FundraisingAmt | 0 | 0 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 1963318 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 17669862 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 19633180 |
| IRS990/ForeignActivitiesInd | 0 | false |
| IRS990/ForeignFinancialAccountInd | 0 | false |
| IRS990/ForeignOfficeInd | 0 | false |
| IRS990/Form8282PropertyDisposedOfInd | 0 | false |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 8.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 6.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 7.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 59.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 7.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 59.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 7.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 60.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 7.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 5.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 7.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 5.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 14 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 15 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 16 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 23 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 19 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 20 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 21 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 22 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 23 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 0 | JOHN GIESE |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 1 | MICHAEL LEFOR |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 2 | SR NANCY MILLER OSB |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 3 | KURT SCHLEY |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 4 | TIMOTHY BOPP MD |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 5 | MICHAEL L CASSIDY MD |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 6 | VERNON DOSCH |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 7 | JEFFREY DROP |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 8 | LESLIE B OLIVER |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 9 | PATRICK SOGARD |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 10 | SR THOMAS WELDER |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 11 | Tessa Marburger MD |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 12 | Todd Preszler MD |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 13 | Brandon Price MD |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 14 | Kevin Dahmen MD |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 15 | MATTHEW GRIMSHAW |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 16 | JOSEPH RUARK |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 17 | Lori Hahn |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 18 | Ryan Hegge MD |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 19 | THERESA Hegge MD |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 20 | Fareed Kadum MD |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 21 | Roxanne Keene MD |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 22 | Michael MACUGA MD |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 23 | Douglas Clark MD |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 9 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 10 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 11 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 12 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 13 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 14 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 70608 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 26504 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 28212 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 9893 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 42718 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 31032 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 47058 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 33128 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 28080 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 9701 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 25614 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 22668 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 31048 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 30205 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 22 | 25126 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 23 | 27754 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 339459 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 146603 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 788535 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 573989 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 598415 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 21 | 712249 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 22 | 473234 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 23 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 535581 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 451654 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 1315324 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 438373 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 245959 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 444798 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 423812 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 16 | 171412 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 23 | 766943 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | Chair |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | Vice Chair |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | Secretary / Treasurer |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | President / Market CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | Director/CHI SVP DIVISION OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | Ex-officio/PRESIDENT & CEO (Partial Year) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | CFO/VP OF FINANCE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | VP PATIENT CARE SERVICES |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | Radiologist |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | Plastic- Reconstruction Surgeon |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | OB/GYN-SURGEON |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 22 | ER Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 23 | Physician, Former HCE |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | true |
| IRS990/Form990TFiledInd | 0 | true |
| IRS990/FormationYr | 0 | 1920 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | true |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | true |
| IRS990/FundraisingActivitiesInd | 0 | false |
| IRS990/GainOrLossGrp/OtherAmt | 0 | 1501549 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 0 |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 15 |
| IRS990/GovernmentGrantsAmt | 0 | 24196 |
| IRS990/GrantAmt | 0 | 1880234 |
| IRS990/GrantsPayableGrp/BOYAmt | 0 | 0 |
| IRS990/GrantsToDomesticIndividualsGrp/ProgramServicesAmt | 0 | 1823733 |
| IRS990/GrantsToDomesticIndividualsGrp/TotalAmt | 0 | 1823733 |
| IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt | 0 | 56501 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 56501 |
| IRS990/GrantsToIndividualsInd | 0 | true |
| IRS990/GrantsToOrganizationsInd | 0 | true |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossAmountSalesAssetsGrp/OtherAmt | 0 | 1501549 |
| IRS990/GrossReceiptsAmt | 0 | 99759611 |
| IRS990/GroupExemptionNum | 0 | 0928 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | true |
| IRS990/IndependentAuditFinclStmtInd | 0 | false |
| IRS990/IndependentVotingMemberCnt | 0 | 11 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 50 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartIXInd | 0 | X |
| IRS990/InfoInScheduleOPartVIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 8443490 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 8443490 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 480083 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 186699 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 666782 |
| IRS990/IntangibleAssetsGrp/BOYAmt | 0 | 0 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 783354 |
| IRS990/InterestGrp/TotalAmt | 0 | 783354 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 1777966 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 2026657 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 1081 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 1081 |
| IRS990/InvestmentInJointVentureInd | 0 | false |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 0 |
| IRS990/InvestmentsProgramRelatedGrp/BOYAmt | 0 | 0 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 0 |
| IRS990/IRPDocumentCnt | 0 | 0 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 41172312 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 49821301 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 44697183 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 85869495 |
| IRS990/LegalDomicileStateCd | 0 | ND |
| IRS990/LoanOutstandingInd | 0 | false |
| IRS990/LobbyingActivitiesInd | 0 | true |
| IRS990/LocalChaptersInd | 0 | false |
| IRS990/MaterialDiversionOrMisuseInd | 0 | false |
| IRS990/MembersOrStockholdersInd | 0 | true |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | true |
| IRS990/MinutesOfGoverningBodyInd | 0 | true |
| IRS990/MiscellaneousRevenueGrp/ExclusionAmt | 0 | 197688 |
| IRS990/MiscellaneousRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 0 |
| IRS990/MiscellaneousRevenueGrp/TotalRevenueColumnAmt | 0 | 197688 |
| IRS990/MiscellaneousRevenueGrp/UnrelatedBusinessRevenueAmt | 0 | 0 |
| IRS990/MissionDesc | 0 | SEE SCHEDULE O |
| IRS990/MoreThan5000KToIndividualsInd | 0 | false |
| IRS990/MoreThan5000KToOrgInd | 0 | false |
| IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt | 0 | 943978 |
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Displayed year
2017 • Form 990Detailed filing. Detailed filing data is available for this year.